Endodontic teleconsulting by Telehealth in Minas Gerais state, Brazil

L. C. Paixão, Vanessa Andrade Costa, E. Ferreira e Ferreira, A. P. Ribeiro Sobrinho, R. C. Martins
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Abstract

Abstract Background The Telehealth Brazil Program aims to improve the quality of Primary Health Care. Objective This cross-sectional study evaluated the Telehealth Brazil Networks Program’s dental teleconsulting in Minas Gerais state to elucidate the prevalent questions in endodontics. Method Secondary databases of offline dental teleconsulting from the Clinical Hospital and Medical School of the Universidade Federal de Minas Gerais from July 2015 to July 2017 were used. The variables analyzed were telehealth center, dental specialty and sub-area, and question type. The results were descriptively analyzed using the SPSS v.22.0 program. Results A total of 3,920 teleconsulting sessions were carried out. Endodontics was the field with the sixth-highest demand for questions (7.4%). The most prevalent endodontic questions were related to pulpal and periapical alterations (32.3%), being more related to diagnosis, followed by dental trauma (15.6%), endodontic emergencies (11.4%), and intracanal medication (7.3%), all of them with most questions related to clinical conduct. Conclusion The endodontic field questions were related to prevalent conditions in the daily activities of the primary health care professionals. It is crucial to continuously update the professionals through continuing education programs and the search for new knowledge to reinforce these competencies.
巴西米纳斯吉拉斯州远程保健提供的牙髓远程咨询
背景远程医疗巴西计划旨在提高初级卫生保健的质量。目的本横断面研究评估远程医疗巴西网络计划在米纳斯吉拉斯州的牙科远程咨询,以阐明牙髓学的普遍问题。方法使用2015年7月- 2017年7月米纳斯吉拉斯州联邦大学临床医院和医学院线下牙科远程会诊二级数据库。分析的变量为远程医疗中心、牙科专科和分区、问题类型。使用SPSS v.22.0程序对结果进行描述性分析。结果共开展远程会诊3920次。牙髓学是问题需求第六高的领域(7.4%)。最常见的牙髓问题是牙髓和根尖周改变(32.3%),与诊断相关程度更高,其次是牙外伤(15.6%)、牙髓急诊(11.4%)和管内用药(7.3%),与临床行为相关的问题最多。结论根管领域问题与初级卫生保健专业人员日常活动中的常见病有关。通过继续教育计划和寻找新知识来加强这些能力,不断更新专业人员是至关重要的。
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11 weeks
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